East Shore Health District – Public Health or Welfare Agency, NPI 1184670176

East Shore Health District is a healthcare provider. based in Branford, Connecticut. specializing in Public Health or Welfare Agency. The organization holds a License No. 028111 (CT). The NPI Number for East Shore Health District is 1184670176

Main info

Organization
Name
East Shore Health District
NPI
1184670176
Phone
(203) 481-4233
Address
688 E MAIN ST
Authorized Official
DR. RICHARD YOUNG MEDICAL ADVISOR MD
Enumeration Date
25 May 2006
Last Update Date
19 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for East Shore Health District

  • 688 E MAIN ST

    BRANFORD, CT 064052971

    Phone: (203) 481-4233

    Fax: (203) 483-6894

    Type: Location

  • 14, Business Park Drive, Branford, New Haven County, Connecticut, 06405, United States

    BRANFORD, CT 064052909

    Phone: (203) 481-4233

    Fax: (203) 483-6894

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-09-13

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060913000456OMass Immunization (Roster Biller Only)CTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0008Administration of influenza virus vaccine417417$0
90662Influenza vaccine split virus, preservative free365365$0
91322Sarscov2 vac 50 mcg/0.5ml im196196$0
90480Admn sarscov2 vacc 1 dose196196$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage2828$0
View full utilization report →

Insurance plans in this area (ZIP 06405)

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Reviews

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Frequently asked questions

Is there an official ID for East Shore Health District in U.S. healthcare records?
The official identifier for East Shore Health District is NPI 1184670176.
Is there an active status for East Shore Health District?
For scheduling context, East Shore Health District is shown as active in the registry.
What clinical focus is listed for East Shore Health District?
At a glance, East Shore Health District is tied to Public Health or Welfare Agency. Clinical services aligned with this taxonomy classification.
What locale is associated with East Shore Health District?
Directory geography for East Shore Health District centers on Branford, Connecticut.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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